WO2003088920A3 - Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics - Google Patents

Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics Download PDF

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Publication number
WO2003088920A3
WO2003088920A3 PCT/US2003/012475 US0312475W WO03088920A3 WO 2003088920 A3 WO2003088920 A3 WO 2003088920A3 US 0312475 W US0312475 W US 0312475W WO 03088920 A3 WO03088920 A3 WO 03088920A3
Authority
WO
WIPO (PCT)
Prior art keywords
gastrostomy
jejunostomy
low profile
combination device
applications
Prior art date
Application number
PCT/US2003/012475
Other languages
French (fr)
Other versions
WO2003088920A8 (en
WO2003088920A2 (en
Inventor
Elizabeth A Goldberg
Original Assignee
Philadelphia Children Hospital
Elizabeth A Goldberg
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Philadelphia Children Hospital, Elizabeth A Goldberg filed Critical Philadelphia Children Hospital
Priority to AU2003234176A priority Critical patent/AU2003234176A1/en
Priority to JP2003585673A priority patent/JP2005523077A/en
Priority to EP03728485A priority patent/EP1503714A4/en
Publication of WO2003088920A2 publication Critical patent/WO2003088920A2/en
Publication of WO2003088920A3 publication Critical patent/WO2003088920A3/en
Publication of WO2003088920A8 publication Critical patent/WO2003088920A8/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L28/00Materials for colostomy devices
    • A61L28/0061Materials for coating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0015Gastrostomy feeding-tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/003Means for fixing the tube inside the body, e.g. balloons, retaining means
    • A61J15/0034Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
    • A61J15/0038Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters expandable, e.g. umbrella type
    • A61J15/0042Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters expandable, e.g. umbrella type inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/0053Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin
    • A61J15/0065Fixing means and tube being one part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/0069Tubes feeding directly to the intestines, e.g. to the jejunum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L28/00Materials for colostomy devices
    • A61L28/0034Use of materials characterised by their function or physical properties
    • A61L28/0038Medicaments; Biocides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J2200/00General characteristics or adaptations
    • A61J2200/60General characteristics or adaptations biodegradable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J2205/00General identification or selection means
    • A61J2205/40General identification or selection means by shape or form, e.g. by using shape recognition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M2025/0056Catheters; Hollow probes characterised by structural features provided with an antibacterial agent, e.g. by coating, residing in the polymer matrix or releasing an agent out of a reservoir
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0213Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/0233Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0266Holding devices, e.g. on the body using pads, patches, tapes or the like
    • A61M2025/0273Holding devices, e.g. on the body using pads, patches, tapes or the like having slits to place the pad around a catheter puncturing site

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • General Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Medicinal Preparation (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Materials For Medical Uses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • External Artificial Organs (AREA)

Abstract

A combination device (1) for gastrostomy or jejunostomy usage having a retaining member (2), an elongated member (3) having a gastrostomy lumen (20) and a jejustomy lumen (22), and an inflatable balloon (26) mounted on the elongated member (3). The retaining member (2) is of a low profile and is arranged to be located on the skin adjacent a stoma in the abdominal wall through which the elongated member (3) extends. The balloon (26) seals the stoma about the elongated member (3). The retaining member (2) includes at least one access port (14/16) to communicate with respective ones of the lumens. The device (1), related compositions, and processes can prevent and/or treat granulomas.
PCT/US2003/012475 2002-04-22 2003-04-22 Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics WO2003088920A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU2003234176A AU2003234176A1 (en) 2002-04-22 2003-04-22 Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics
JP2003585673A JP2005523077A (en) 2002-04-22 2003-04-22 Thin combination device used for gastrostomy or jejunostomy with the property of forming an anti-granulomatous agent
EP03728485A EP1503714A4 (en) 2002-04-22 2003-04-22 Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US37453702P 2002-04-22 2002-04-22
US37440102P 2002-04-22 2002-04-22
US60/374,401 2002-04-22
US60/374,537 2002-04-22
US10/420,450 US6997909B2 (en) 2002-04-22 2003-04-22 Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics
US10/420,450 2003-04-22

Publications (3)

Publication Number Publication Date
WO2003088920A2 WO2003088920A2 (en) 2003-10-30
WO2003088920A3 true WO2003088920A3 (en) 2003-12-04
WO2003088920A8 WO2003088920A8 (en) 2004-01-15

Family

ID=29255355

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/012475 WO2003088920A2 (en) 2002-04-22 2003-04-22 Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics

Country Status (5)

Country Link
US (2) US6997909B2 (en)
EP (1) EP1503714A4 (en)
JP (1) JP2005523077A (en)
AU (1) AU2003234176A1 (en)
WO (1) WO2003088920A2 (en)

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AU2003234176A1 (en) 2003-11-03
US20040024363A1 (en) 2004-02-05
JP2005523077A (en) 2005-08-04
EP1503714A2 (en) 2005-02-09
WO2003088920A8 (en) 2004-01-15
AU2003234176A8 (en) 2003-11-03
US20060078575A1 (en) 2006-04-13
US6997909B2 (en) 2006-02-14
WO2003088920A2 (en) 2003-10-30
EP1503714A4 (en) 2007-01-24

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